01D2189965 CLIA NUMBER - NORTHRIVER HOME DIALYSIS

Laboratory Demographics

  • CLIA Code: 01D2189965
  • Facility Name: NORTHRIVER HOME DIALYSIS
  • Facility Address: 1850 MCFARLAND BLVD N, SUITE B
    TUSCALOOSA, AL
    ZIP 35406
  • Facility Phone: 205 556-5541
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: WALEED SIDDIQI
  • NPI Number: 1679665848
  • Taxonomy: 207Y00000X - Otolaryngology

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CLIA Record

Field Name Field Value
CLIA Number 01D2189965
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name NORTHRIVER HOME DIALYSIS
Street 1850 MCFARLAND BLVD N, SUITE B
City TUSCALOOSA
State AL
ZIP 35406
Phone 205 556-5541
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/7/2024
Certificate Expiration Date 8/6/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director WALEED SIDDIQI

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This page was last updated on: 9/29/2025